Individual
DR. ADAM JAY PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1406 W BELLA DR, MARION, IN 46953-5229
(765) 660-7720
(765) 662-4493
Mailing address
330 N WABASH, STE G20, MARION, IN 46952-2600
(765) 660-7616
(765) 651-7313
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01068296A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000933044
ANTHEM
IN
05
—
201016230
—
IN
Enumeration date
04/04/2008
Last updated
10/19/2020
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